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Mailing:P.O.Box 176,Salida,CA 95360 <br /> 4612 Kiernan Court,Salida,CA 95368 <br /> " GeorgeW Lowry, AItC. Phone:209.545.0791 FAX 209.545-2241 <br /> Environmental Services Division EPA#CAR000047019 <br /> CA Transporter Number 3844 <br /> CA License#758518 <br /> GENERATOR: Consolidated Manifest Invoice: N_a 255E7 <br /> Site EPA ID#: C11L 000 3 <br /> Shipment Date: <br /> Contact Person: <br /> Name: Driver Signature(Printed): <br /> Address t Truck# <br /> City,State,Zip: <br /> PO# <br /> Site Phone: <br /> Product waste CA Manifest#0 Quantity units Price Amount <br /> Code <br /> on-RCRA Hazardous Waste Liquid(Used 011):Lubricating 221 C)r ,. -�J IC 1 Gat <br /> Non-RCRA Hazardous Waste Liquid(Used 011):industrial 221 01Z Gal f�S <br /> on RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 U J J iL J Gal <br /> Non-RCRA Hazardous Waste ftld(Oil&Water) 223 Gat <br /> on-RCRA Hazardous Waste Solids Contaminated with Used Oil 352 L C^ Drum(s) 3� s <br /> Drained Used Oil Fluter Drum(s) ©© J Drum(s) <br /> Empty Drum(s) Each <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Tom: Accounts due on the loth of the month following month of purchase, Past due TotaI <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-12%per month,which is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt is profiled to meet the Waste Codes as listed above. <br /> Note: George W. Lowry, Inc.hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil but that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-,state facilities that process used of also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of tank irttegrity,and financial assurances <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that cc <br /> dards only with the Federal used oil management stan- <br /> dards and not these more stringent requirements, <br /> This notification is for information only. Lowry Driver Sipffature X Z J <br /> Signature of Generator,Representative or Agent of Generator: X <br /> Bakersfield Transfer Global Material Management <br /> 1620 E.Brundage Lane 7244 Varna Ave. <br /> Bakersfield,CA 93307 Hollywood,CA 91605 Name; <br /> 661-322-8258 818-900.8476 <br /> oCAL000282598 CAL000384844 Address; <br /> Recycling <br /> &Disposal <br /> FaCilltl@S State <br /> Riverbank Oil Transfer 5300 Ramos Environmental Com' '23p: <br /> Claus Road 1615 S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209-863-8181 916-371-5747 <br /> CALOGOO190817 CA00040035M EPA ID: <br /> REV.12-14 <br />